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Dental Benefit Breakdown

Notices & Updates

To help ensure timely claims processing and payment, please review all notices and updates.


Reminders

  • To help prevent delays, please avoid sending X‑rays, narratives, periodontal charts, or other documents unless they’re specifically requested by CDT guidelines. Please refer to the CDT Dental Code Guide for specific billing requirements. In general, claim attachments are not needed unless the CDT Dental Code Guide indicates they’re required.
  • All electronically submitted claims must include the provider’s taxonomy code to be processed correctly. Claims missing a taxonomy code will be denied. Learn More.
  • You can access the Fee Schedule Lookup tool in the Provider Portal under either Quick Access or the Resources menu.
  • Preauthorization is required for certain dental procedures. Learn More.

If you have any questions, please contact us via the Message Center in the Provider Portal.


PEHP Dental Benefits with In‑Network Providers

Local Governments Risk Pool Preferred Choice Option I

Local Governments Risk Pool Preferred Choice Option II

Local Governments Risk Pool Premium Choice

Local Governments Risk Pool Traditional Choice

Local Governments Risk Pool Essential Dental Care

Medicare Basic Dental Plan

Medicare Dental 1000 Plan

Medicare Dental 1500 Plan

Medicare Supplement Dental Discount

Salt Lake City Preferred Choice

Salt Lake City Premium Choice

State Of Utah Preferred Choice

State Of Utah Traditional Choice

State Of Utah Basic HSA Dental Care

State Of Utah Discount HSA Dental Care